{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:14:22Z","timestamp":1781014462588,"version":"3.54.1"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100011549","name":"American Orthopaedic Society for Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011549","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008542","name":"Arthroscopy Association of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate patient\u2010reported outcomes (PROs) and survivorship at mid\u2010term follow\u2010up after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) in patients with and without preoperative lower back pain (LBP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with self\u2010endorsed preoperative LBP who underwent HA for FAIS with mid\u2010term follow\u2010up were identified and propensity matched 1:1 to patients without back pain by age, sex, and body mass index (BMI). PROs collected preoperatively and at postoperative years 1, 2, and 5 included Hip Outcome Score\u2013Activities of Daily Living (HOS\u2010ADL) and Hip Outcome Score\u2013Sports Subscale (HOS\u2010SS), 12\u2010item International Hip Outcome Tool (iHOT\u201012), modified Harris Hip Score (mHHS), and Visual Analog Scale (VAS) for Pain. Achievement of minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) were compared. Survivorship was compared with Kaplan\u2010Meier analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 119 patients with LBP were matched to 119 patients without LBP. Group demographic factors were as follows: age (37.4 \u00b1 11.9 vs 37.6 \u00b1 12.6 years,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .880), sex (64.4% vs 67.7% female,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .796), and BMI (25.3 \u00b1 5.1 vs 25.3 \u00b1 5.4,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .930). Average follow\u2010up duration was 6.0 \u00b1 1.9 years. LBP patients showed similar preoperative PROs, yet lower 1\u2010year scores for all PROs (\n                      <jats:italic>P<\/jats:italic>\n                      \u2264 .044). At final follow\u2010up, similar PROs were shown between groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2265 .196). LBP and non\u2010LBP patients had similar MCID achievement for HOS\u2010ADL (59.3% vs 63.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .640), HOS\u2010SS (73.9% vs 70.8%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .710), mHHS (66.7% vs 73.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .544), iHOT\u201012 (85.1% vs 79.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .500), and VAS Pain (75.6% vs 69.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .490). Groups also had similar PASS achievement for HOS\u2010ADL (63.5% vs 61.3%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .777), HOS\u2010SS (57.0% vs 62.5%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .461), mHHS (81.9% vs 79.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .692), iHOT\u201012 (54.6% vs 61.2%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .570), and VAS Pain (51.0% vs 55.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .570). Additionally, achievement of MCID \u2265 1 PRO (\n                      <jats:italic>P<\/jats:italic>\n                      \u2265 .490) and PASS \u2265 1 PRO (\n                      <jats:italic>P<\/jats:italic>\n                      \u2265 .370) was similar across groups. Conversion to total hip arthroplasty occurred in 3.4% of hips with LBP and 0.8% of hips without LBP (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .370). Back pain patients demonstrated inferior time\u2010dependent survivorship compared with patients without back pain on Kaplan\u2010Meier survival analysis (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .023).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients undergoing primary hip arthroscopy for FAIS with LBP achieve comparable PROs and clinically significant outcomes to patients without back pain at mid\u2010term, despite lower 1\u2010year PRO scores. LBP patients show inferior reoperation\u2010free time\u2010dependent survivorship compared with those without LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.03.044","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T04:38:35Z","timestamp":1712637515000},"page":"68-76","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Hip Arthroscopy Patients With Lower Back Pain Show Delayed Clinical Improvement and Inferior Time\u2010Dependent Survivorship: A Propensity Matched Study at Mid\u2010Term Follow\u2010Up"],"prefix":"10.1002","volume":"41","author":[{"given":"Omair","family":"Kazi","sequence":"first","affiliation":[{"name":"Section of Young 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Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Danilkowicz","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick M.","family":"Knapik","sequence":"additional","affiliation":[{"name":"Section of Young Adult Hip Surgery Division of Sports Medicine Department of Orthopedic Surgery Rush Medical College of Rush University Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Section 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